HomeMy WebLinkAboutVeterans_Henderson�e\ n1 �••, `
µ�.
APPLICATION FOR TAX DEDUCTION FOR DISABLED VETERANS,
WWI VETERANS AND SURVIVING SPOUSES OF CERTAIN VETERANS
State Form 72662 (R8 / 4-04)
PrescribeA by the Depanment of Local Govemmem Finance
3
INSTRUCTIONS: Please check appropriate box(es) pertaining to tax deduction. (More fhan one box may be checked; however, a surviving
spouse who receives a deduction under Section IV may not receive a deduction under Section 11.)
.NG DATES:
REAL PROPERTY: DURING THE 12 MONTHS BEFORE MAY 17 OF THE YEAR THE DEDUCTION IS TO APPLY.
MOBILE HOMES (6-1.1-7)YDURING THE 1( MONTHS BEFO9 E MARCH 2 OF EACH YEy R FOR 1p(yj��H�IV1pLIA�SHES TO
OBTAIN THE DEDUCTION. , � ,
�-� @ d
❑ I Totall disabled veteran or veteran at least a e 62 with at least f0% disabilit or survivi s o e- d��aad.�2%80
Complete sections I, V and VI. (IC 6-7.1-72-14)
❑ II Partially service�-connecied disabled veteran OR surviving spouse - Not to exceed 524,960 p E C 01 2004
Complete sections II, V and VI. (IC 6-7.1-12-13)
❑ III World War I Veteran - Not to exceed 518,720
Complete sections III, V and VI. (IC 6-1.1-12-17.4) �
❑ IV Surviving spouse of Wodd War I Veteran - Not to exceed 578,720 GI850N COU TY ?,UDITOR
of applicant
seUions N, V, and VI. (IC G7.
does not ) ovm property wiN another individual(s) besides spouse and/or another veteren.
This applicatlon is made for the purpose of obtaining
ProPertv for the Year 20 .
town, township)
�
deductlon from Ne assessed valuatlon o( Ne following described taxable
property in question: I Parcel or
eal Property ❑ Mobile Home (IC 6-1.1-7) (
�/�ppllcant was a member of the U.S. Artned Fwces for at least 90 days (not necessadly dunng war time),
B. Applicant xas Fronoraby discharged.
C."�Applicant is: ❑ TotaOy disabled; or
❑ At least age 62 with at least 10%a disability
D.�P,pplicanYs disabiliry is evidenced by ❑ Certifipte of eligibiliry from the Indiana Departrnent of Veterans Afrairs;
i�
❑ Pension cerUficate;
�Award of mmpensation from Vete2ns Administration or Departrnent of Defense; or
❑ Veterans Administra6on Form 20.5455'Tau Abatement Certificate'
E. 0 The assessed valuation (at 100%) of the property for which ihe deduclion is Gaimed (may rrot exceed $713,000) $
F. ❑ Applicant is ihe surviving spouse of an individual who would have qualified for the deducUon urWer Ihis section when he w she was alive.
(Age of deceased veteran on date ot death )
A. ❑ Applicant was a member of lhe U.S. Artned Forces during any of its wars.
B. ❑ Applicant was honorebly discharged.
C. ❑ Applicant has a service-connected disability o( at least 70%a
D. ❑ ApplicanYs disability is evidenced by: ❑ Certificate of eligibiiity from the Indiana Department of Veterans Aftairs;
❑ Pension certificate;
ward of wmpensaGOn from Veterans AdminisVation or Department of Oefense; or
Veterans Administration Fortn 20-5455'Tax Abatement Certificate'
E. � Applicant is ihe surviving spouse of an individual who would have qualified for the deduclion under this section when he or she was alive.
(Age of deceased vete/an on date oldeath )
A U Applicant is a veteran ot World War I.
ApplipnPs disabiGy is evidented by ❑ Letter Gom Veterans AdminisGafirn or Department of Defense; or
❑ Discharge dowments
C. � The assessed valuatlon (at 100°/,) of ihe property (or which the deduction is daimed (may not exceed 5163,000) $_
D. � The property is Ne applicanfs prindpa� residence. _
E. ❑ The applicant wmed the property (or was buyiig d under con6aa) for at least one year befae the date of this appliqtion.